Summary
Highlights
Screening for major depressive disorder in adolescents ages 12 to 18 and for depression in general in adults.
Mammography every two years for women ages 40 to 74. No clear data for women older than 74.
Pap smear at age 21, every three years from 21 to 30, and co-testing every five years from 30 to 65. HPV vaccine for women ages 11 to 45.
Chlamydia screening yearly until age 24 in sexually active women, after 25 only if increased risk. Gonorrhea screening only if increased risk.
Screen people ages 15 to 65 for HIV. Screen younger or older if there is an increased risk.
Adults ages 35 to 70 with obesity, hypertension, or hyperlipidemia should be screened for diabetes. Gestational diabetes screening during weeks 24-28 of pregnancy (week 26 generally); high-risk patients screened during first visit.
Ages 40 to 75 with one or more CVD risk factors and a 10-year risk greater than 10% should be given a statin. This includes patients with a history of stable angina, LDL > 190, stroke, or are diabetic.
Screening every 10 years beginning at age 45. Earlier screening if family history of colorectal cancer. Patients with history of colon cancer should also begin annual screening.
Annual CT scans for patients with a 20-pack year history, ages 50 to 80. Screening can stop if they quit smoking more than 15 years ago.
All men above 65 who have ever smoked or have a family history of AAA should be screened with ultrasound.
Every woman at age 65 gets osteoporosis screening with DEXA scan.